| NPI | 1104066919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA C144987) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX T8885) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 003777) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: 390200000X) | |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2022-07-27 |